Tax Offset Inquiry Form

Our records indicate that you owe a past due balance at Ball State University. To obtain details about your debt and begin the Tax Offset Inquiry process, please complete the information below.

Age of the debt is not a valid excuse for disputing your outstanding balance. There is no statute of limitations for collecting debt owed.

BSU Tax Offset Program

Student Information

First Name:

Middle Name:

(if applicable)

Last Name:

Maiden Name:

(if applicable)

BSU Student ID #:

(To locate: Refer to the top left of your notification letter)

DOR Case #:

(To locate: Refer to the top left of your notification letter)

Last 4 Digits of Social Security Number:

Date of Birth:

Contact Method

Due to the amount of research required for each response, we will not be able to provide immediate information in person or by phone. Instead, after researching your account, we will contact you by your preferred method (phone or email).

How would you like us to contact you?

Contact me via Email (response time is typically 3-5 business days)

Contact me via Phone (response time is typically 5-7 business days)

E-mail Address:

Phone Number:

Additional Information

In the space below, please describe why you believe the outstanding balance is inaccurate. For your protection, please do not provide any critical information in the comments field below. Critical information includes: social security number, password, bank information, or any other data designated as "critical" information.

Comments: